Dortone, Kenneth James

Dortone, Kenneth James is an individual health care provider with primary practice located at 2429 Brown St , Philadelphia PA 19130-1930. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Dortone, Kenneth James can be contacted via phone (215) 236-4088.

Contact Information

Primary practice address
2429 Brown St Philadelphia PA 19130-1930
Phone: (215) 236-4088
Fax: (215) 236-0755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X SC003609L Pennsylvania

Profile Details

NPI number 1538173604
LBN Legal business name Dortone, Kenneth James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 6th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538173604 NPPES
Pennsylvania MEDICAID 0014109700006

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